ArticleInternational journal of environmental research and public health2020
Public Medical Insurance and Healthcare Utilization and Expenditures of Older with Chronic Diseases in Rural China: Evidence from NRCMS.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Fiscal Incentives and Health Risk Protection: How Central-Local Fiscal Relations Shape Rural Households' Medical Burden in China.Healthcare (Basel, Switzerland) · 2026Article
- From coverage to care: how basic medical insurance shapes patients' experiences of primary care in China.Frontiers in epidemiology · 2026Article
- Health Insurance Schemes and Chronic Disease Management Behaviours in China: Evidence from Women with Non-Communicable Diseases.Risk management and healthcare policy · 2026Article
- Can supplementary private health insurance reduce vulnerability to expected poverty and catastrophic health expenditure in China?International journal for equity in health · 2025Article
- Patterns and Factors of Intrinsic Capacity Impairment in Older Adults with Chronic Diseases: A Latent Class Analysis.Clinical interventions in aging · 2025Article
- Temporal Trends in the Burden of Disease for Male Infertility from 1990 to 2021 in the BRICS.Risk management and healthcare policy · 2025Article
- Trends in the burden of urolithiasis in China: an analysis from the global burden of disease study 2021.Frontiers in surgery · 2025Article
- Trend analysis of pediatric urolithiasis prevalence from 1990 to 2021 in the BRICS.Frontiers in pediatrics · 2025Article
- Trends and age-period-cohort effect on the incidence of falls from 1990 to 2019 in BRICS.Heliyon · 2024Article
- Trends and projections of the burden of disease for male infertility in China from 1990 to 2021: an analysis from the Global Burden of Disease 2021 study.Frontiers in reproductive health · 2024Article
- Article
- Older adults 's hospitalizational costs and burden study in China--analysis from CHARLS data 2018.Frontiers in public health · 2024Article
- Article
- Catastrophic health expenditure and its inequality in rural China: based on longitudinal data from 2013 to 2018.BMC public health · 2023Article
- Pulmonary Heart Disease Associated Mortality - China, 2014-2021.China CDC weekly · 2023Article
- Does Internet use connect smallholder farmers to a healthy diet? Evidence from rural China.Frontiers in nutrition · 2023Article
- The Comparison of Various Types of Health Insurance in the Healthcare Utilization, Costs and Catastrophic Health Expenditures among Middle-Aged and Older Chinese Adults.International journal of environmental research and public health · 2022Article
- Relationships among mental health, social capital and life satisfaction in rural senior older adults: a structural equation model.BMC geriatrics · 2022Article
- The impact of national comprehensive medical reform on residents' medical expenses: Evidence from China.Frontiers in public health · 2022Article
- Impact of intergenerational support and medical expenditures on depression: Evidence from rural older adults in China.Frontiers in public health · 2022Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
China's rural older are the threat from chronic diseases, making it important to evaluate the effect of public health insurance on the health care utilization and expenditures with chronic diseases. In 2003, China initiated a public health insurance, which was called the New Rural Cooperative Medical System (NRCMS). NRCMS is a voluntary program, targeting rural residents with government subsidies and individual contribution. Using the two-stage residual inclusion approach (2SRI), we analyzed the impact of NRCMS on health-care service utilization and expenditure of rural older with chronic diseases by using the 2011 and 2013 China Health and Retirement Survey (CHARLS) data. The results showed NRCMS did not play an effective role on improving the medical services utilization of rural older with chronic diseases. Although NRCMS immediate reimbursement significantly reduced the outpatient service fee, the actual outpatient reimbursement is the opposite. In addition, NRCMS did not significantly decrease their hospitalization expense. Policy makers should pay attention to health management about chronic diseases in rural China, and some measures should be taken to deepen the medical security system reform and improve the public health service system.
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